Provider Demographics
NPI:1154819860
Name:KW CORE SERVICES, INC.
Entity Type:Organization
Organization Name:KW CORE SERVICES, INC.
Other - Org Name:SYNERGY HOMECARE OF WEST LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIPE
Authorized Official - Middle Name:SANCHEZ
Authorized Official - Last Name:DANGLAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-534-1352
Mailing Address - Street 1:1333 N BUFFALO DR UNIT 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3637
Mailing Address - Country:US
Mailing Address - Phone:702-534-1352
Mailing Address - Fax:702-534-0594
Practice Address - Street 1:1333 N BUFFALO DR UNIT 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-3637
Practice Address - Country:US
Practice Address - Phone:702-534-1352
Practice Address - Fax:702-534-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9078-PCS-0253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care